Assessment of quality of life of patients with inflammatory bowel disease residing in Southern Brazil

Abstract

-Context -Chronic diseases have an impact on the quality of life of the individuals. Objective -To evaluate the quality of life of adults with inflammatory bowel disease by the inflammatory bowel disease questionnaire certified for Portuguese language. Methods -We interviewed 50 individuals from both genders aged from 18 to 60 years old, with Crohn's disease and ulcerative colitis, regardless of disease activity. Results -The average age of the sample was 42.2 ± 13.6 years old, the disease length was 98.8 ± 74.3 months, and 72% of patients had Crohn's disease and 14% presented disease activity. There was no significant difference in questionnaire scores of patients with different inflammatory bowel disease when they are in the remission phase (172.0 ± 42.4 and 173.6 ± 28.2 for ulcerative colitis and Crohn's disease, respectively, P = 0.886). When compared to scores of patients who were in crisis, it was found that they have a lower quality of life that patients in remission (123.8 ± 44.5 and 173.3 ± 31.5 for patients in crisis and remission, respectively, P = 0.001). Conclusion -It was noticed that the quality of life of patients with inflammatory bowel disease did not differ among patients with Crohn's disease or ulcerative colitis, when patients are in remission. The main aspect which determines the loss of quality of life would be being at the stage of disease activity. HEADINGS -Inflammatory bowel diseases. Crohn disease. Proctocolitis. Quality of life.

Symptoms of Anxiety and Depression, and Quality of Life of Patients With Crohn’s Disease

“…The classification of the anthropometric profile of patients with CD in this survey (23.8±5.12 kg/m²) was similar to that of patients evaluated by Aghdassi et al (2007) (39) and Cohen et al (2010) (36) , being 23.05±0.45 kg/m² and 24.66±3.77 kg/m², respectively. We …”

“…According to Alowais et al (2016) (34) in a study conducted in Saudi Arabia, and De Boer et al (1995) (35) in a study performed in Amsterdam, both in patients with IBD, the authors found that the average score of intestinal and systemic symptoms, social and emotional aspects, and the sum of these were lower than those found in the present survey. Pontes et al (2004) (23) and Cohen et al (2010) (36) , both in Brazil with IBD patients, found average score slightly higher than the one reported in the present study. Despite variations among the studies, all indicated poorer quality of life.…”

“…If anxiety symptoms concomitant with those of depression reported eutrophy, that is, adequate weight. It should be noted that patients with IBD are more susceptible to protein-energy malnutrition that is primarily caused by reduced food intake, poor food absorption, increased gastrointestinal losses and increased nutritional requirements (36)(37)(38)(39)(40) . However, the fact that a little less than half of the survey patients reported disease in remission may have contributed to the adequate classification of the anthropometric profile, within the recommended limits.…”

“…These variations may be associated with cultural understanding of the disease, disease behavior, disease treatment response, environmental factors, social support and assistance from health professionals (34) . (37) and Cohen et al (2010) (36) reported that disease activity significantly affected the quality of life of patients in all domains of symptoms. We also observed significant association between the disease period and the quality of life.…”

Qualidade de vida da pessoa com doença inflamatória intestinal

“…In what concerns the association between the type of disease (CD or UC) and the years of diagnosis and the QoL of people with IBD, no statistically significant differences were found, which is in line with findings from Cohen, Bin, and Fayh (2010) that the QoL of people with IBD is not associated with the presence or not of CD or UC, provided that they are in phase of remission as disease activity is an important factor influencing QoL. Neubauer et al (2009) found that the most important factor influencing QoL was disease activity, regardless of disease duration, in people with less than 5 years of diagnosis, whereas the length of hospital stay was the most important factor influencing QoL in those people who had been diagnosed 5 to 9 years before.…”